Active NPI
Tara Gregory
- Driver
- Jacksonville, FL
National Provider Identifier
1467219501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 8024 Tamarack St
Jacksonville, FL 32208-4248 - Phone
- (904) 434-4390
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
8024 Tamarack St
Jacksonville, FL 32208-4248
Mailing address
8024 Tamarack St
Jacksonville, FL 32208-4248
Phone (904) 434-4390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Memorial, Inc. | Current | Accepting new patients | |
| Daniel Memorial Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Jacksonville, FL
- NPI 1316105091
-
- Community/Behavioral Health Agency
- Jacksonville, FL
- NPI 1346205861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1467219501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8024 TAMARACK ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322084248",
"telephone_number": "904-434-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8024 TAMARACK ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322084248",
"telephone_number": "904-434-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.